Individual provider Active NPI

Nechal V. Tejwani, MD

  • Psychiatry Physician
  • Peabody, MA
National Provider Identifier
1962565135
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
38570 Issued in MA
Practice address
6 Essex Center Dr
North Shore Medical Park
Peabody, MA 01960-2910
Phone
(978) 531-7671
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 38570 MA Primary

Addresses

Primary practice location

6 Essex Center Dr
North Shore Medical Park
Peabody, MA 01960-2910

Mailing address

6 Essex Center Drive
North Shore Medical Park
Peabody, MA 01960
Phone (978) 531-7671

Other identifiers 2

IdentifierTypeStateIssuer
116871000OtherMAMAGELLAN
W05054OtherMABLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040616000200 MA Practitioner - Psychiatry 3577547629 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore Counseling Center IncGroup PAC ID 8628138153, 12 clinicians

Practice addresses (Care Compare)

100 Cummings Ctr
Suite 307E
Beverly, MA 01915-6107
Phone (978) 922-2280

Hospital & facility affiliations

  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pathology Partners, P.C. Current Accepting new patients
North Shore Medical Center, Inc. CurrentSince Nov 29, 1990 Accepting new patients
North Shore Counseling Center Inc CurrentSince Nov 1, 2008 Accepting new patients
North Shore Medical Center, Inc. CurrentSince Nov 29, 1990 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince May 1, 2005 Accepting new patients
NSPG Billing LLC Past Accepting new patients
North Shore Counseling Center Inc PastSince Sep 21, 2025 Accepting new patients

Locations

100 Cummings Ctr
Ste 307E
Beverly, MA 01915
Phone (978) 922-2280

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

55 Highland Ave
Ste 201
Salem, MA 01970
Phone (978) 745-6601

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1962565135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DRIVE",
            "address_2": "NORTH SHORE MEDICAL PARK",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "01960",
            "telephone_number": "978-531-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DR",
            "address_2": "NORTH SHORE MEDICAL PARK",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602910",
            "telephone_number": "978-531-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJWANI",
        "first_name": "NECHAL",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "38570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "116871000",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "W05054",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.